Individual
ROSALEA PETILLO HYLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD LD
Contact information
Practice address
1919 WEST 12TH STREET, 800 MARSHALL STREET SLOT 900, LITTLE ROCK, AR 72202
(501) 364-6577
Mailing address
14 BRENTWOOD CV, CABOT, AR 72023-7301
(501) 941-7645
(501) 843-8504
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
585
AR
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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